“The UW program appealed to me because it seemed well-balanced, offering both in-depth psychotherapy training and and emphasis on biological psychiatry. I was looking for a residency that would expose me to a wide range of clinical experiences, and I was particularly impressed with the variety of clinical settings and cultural and socioeconomic diversity available here.”
“I wanted to pick a city that was urban, but had close access to nature, and I loved the fact that Seattle has so many outdoor activities nearby.”
“I love the diversity of clinical experiences in our program. I’ve gotten to work on the PACT team, at Asian Counseling and Referral Services, and I got to work in Alaska! The away months are one of the coolest things you can do in this residency!”
BS, Biopsychology and Cognitive Science,
University of Michigan
MD, University of Iowa Carver College of Medicine
Psychiatry Residency at University of Washington
“Upon completing the Psychosomatic Medicine fellowship I hope to find a position that combines both inpatient and outpatient consultation experiences. I have a strong interest in working with minority and underserved populations, and have an interest in women’s health and perinatal psychiatry. I also have completed training in Dialectical Behavior Therapy and would like to incorporate this training into my career as well.”
| All Day: | Slept in then attended a summer garden party hosted by one of the attending. Spent the rest of the afternoon running errands and also spent some time outside at one of the great local Seattle parks | |
| Morning: | Harborview Consults all day, with one hour didactics over the noon hour | |
| Afternoon: | See above | |
| Evening: | Went to REI to do some shopping, then home to have dinner with my husband | |
| Morning: | Was at Seattle Cancer Care alliance in the morning seeing patients in clinic | |
| Afternoon: | Harborview Consults for the afternoon | |
| Evening: | Went home and made dinner with my husband | |
| Morning: | Usually I have consult clinic in the Neurology Department, but today I went and observed an attending who provides psychiatric consultation via video teleconferencing to a small mental health clinic in Forks, WA | |
| Afternoon: | Harborview Consults for the afternoon | |
| Evening: | Taught Dialectical Behavioral Therapy skills class to a group of residents and clinicians | |
| Morning: | Harborview Consults for the morning | |
| Afternoon: | Thursday afternoon are usually my scholarly time where I am working on my Cultural Psychiatry track project, however today, I offered to present at the R1 didactics on the topic of decisional capacity | |
| Evening: | Had dinner with friends | |
| Morning: | Harborview Consults for the morning | |
| Afternoon: | Went to my afternoon clinic at the Maternal Infant Care clinic where I see prenatal and postpartum women. Also had supervisio | |
| Evening: | Relaxed with husband and watched a movie | |
| All Day: | Had brunch in the morning with friends, then headed off to go camping for the weekend near Mt. Rainier! | |
“In my general psychiatry residency here, my psychotherapy supervisors provided me helpful feedback and I learned a lot from videotaping myself and reviewing sessions with them. I started out in my R2 year with supportive and brief analytic psychotherapy seminars, in addition to really well taught psychodynamic seminars in didactics. Then in our R3 year we had a Cognitive Behavioral Therapy seminar. I took a seminar in Behavioral Activation and completed the Dialectical Behavioral Therapy course, which was a highlight of my residency. DBT training provided me the chance to work with an individual client, teach a group skills class to clients, and resulted in a lot of wonderful supervision from some of the country’s leading experts!”
40-50 hours
None! No call during fellowship year!
“An alumnus from the UW Psychiatry Residency was on faculty at University of Utah and raved about the training she received at UW. I chose the Idaho Track because I felt it provided a unique opportunity for me to experience excellent training in both an urban setting and a smaller community. The schedule flexibility in Boise was a perfect fit because it allowed me weekends free for travelling out of state to see my partner.”
“I love the excellent faculty and training sites in our program, and the personalized supervision in Boise. We get 2 hours of individual caseload supervision and 2 hours of individual psychotherapy supervision each week.”
BA, Women's Studies, Washington University in St. Louis
MD, University of Utah School of Medicine
“I am excited to be starting a Child and Adolescent Psychiatry Fellowship at the University of Utah next year.”
| Morning: | Slept in, read a book | |
| Afternoon: | Went for a walk on the Greenbelt, movie with friends |
|
| Evening: | Cooked dinner with friends | |
| Morning: | 8:00 arrival on the VA inpatient unit, morning rounds, psychodynamic therapy seminar |
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| Afternoon: | Psychotherapy supervision, prepared a presentation for medical students, read articles for the week's seminars and didactics | |
| Evening: | Went to the gym, made dinner, watched a documentary |
|
| Morning: | 8:15 arrival to Family Medicine Clinic for continuity clinic | |
| Afternoon: | Lunch with a fellow resident, wrote notes, saw patients, caseload supervision |
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| Evening: | Evening: Dinner, relaxed at home | |
| Morning: | 8:30 arrival at the VA for continuity clinic, saw patients | |
| Afternoon: | Lunch with a fellow resident, wrote notes, saw patients, caseload supervision |
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| Evening: | Relaxed at home | |
| Morning: | T-group, didactics |
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| Afternoon: | Board review with fellow residents, psychotherapy supervision, DBT seminar | |
| Evening: | Dinner at home | |
| Morning: | 9:00 arrival to student health center, saw patients | |
| Afternoon: | Noon conference, lunch, notes, saw patients, caseload supervision |
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| Evening: | Hung out at home | |
| Morning: | Slept in, went to a friend's house for breakfast | |
| Afternoon: | Learned to skate ski at Bogus Basin | |
| Evening: | Dinner at a locally adored restaurant that finally reopened after a fire | |
40 hours
In Idaho we have no night or weekend duty!
“This year I am enrolled in a psychotherapy elective that allows me to work with four excellent supervisors skilled in psychodynamic therapy, mindfulness-based therapy, trauma focused therapies and group psychotherapy.”
“I think UW had the best combination of clinical experience ranging from psychiatric services for those who are very privileged to those with no insurance. I’ve been able to start developing a lecture series on teaching skills with Heidi Combs and discuss future administrative projects with Ed Walker. Never once has anyone in the department been anything but completely supportive of my endeavors. It also helped that UW is located in a city in which I wanted to live.”
“I love teaching and have joined the Teacher Scholars Track. This track provides a unique opportunity for residents to enhance their teaching skills by both teaching and learning collaboratively with residents and attending physicians.”
BA, Psychology, Yale University
MD, University of Michigan School of Medicine
MBA, University of Michigan School of Business
“I am very interested in systems and organization, so I think my future will hold at least some administrative work in addition to clinical practice. I am also drawn to teaching and have joined the Teacher Scholars Track. I’m also looking forward to being one of the chief residents next year. Mostly, I’m still sampling what’s out there and trying to see what I like best.”
| Morning: | Slept in | |
| Afternoon: | Brunch with my boyfriend and friends on Capitol Hill, went running | |
| Evening: | Dinner at home | |
| Morning: | 8:00 arrival to Seattle Counseling Service (SCS), a community mental health center targeted at serving Seattle’s LGBT population. Saw morning patients and had individual, clinic supervision | |
| Afternoon: | Saw afternoon clinic patients at SCS | |
| Evening: | Gym, dinner with boyfriend, bad television | |
| Morning: | 7:45 arrival to Harborview Medical Center’s Outpatient Psychiatry Clinic. Saw long-term continuity clinic patients, had individual supervision in cognitive behavioral therapy | |
| Afternoon: | Had caseload supervision, saw afternoon patients, had individual supervision for psychodynamic psychotherapy | |
| Evening: | Rock climbing with friends | |
| Morning: | 8:00 arrival to Seattle VA Hospital Addictions Treatment Center. Saw clinic patients and had individual, clinic supervision | |
| Afternoon: | Saw afternoon clinic patients | |
| Evening: | Went running, dinner, read | |
| Morning: | 8:00 attended R3 didactic series, T-group, Business Meeting | |
| Afternoon: | Attended R3 Clinical Interaction Seminar, attended advanced psychodynamic psychotherapy seminar | |
| Evening: | Happy hour with friends, bad television | |
| Morning: | Individual research time for educational projects | |
| Afternoon: | Individual research time for educational projects | |
| Evening: | Gym, dinner with boyfriend, out on the town | |
| Morning: | Slept in | |
| Afternoon: | Brunch with friends | |
| Evening: | Got sign-out from day resident at UWMC, started night call | |
Harborview Continuity Clinic
VA Geriatric Outpatient Clinic
Seattle Children’s Hospital Outpatient Clinic
Seattle Counseling Services Outpatient Clinic
VA Addictions Outpatient Clinic
Independent Research and Educational Elective
40 hours
Average 1-2 weekend shifts per month, around 12 hours each
“Thus far in my training I have completed my supportive psychotherapy seminar, my psychodynamic therapy and my cognitive behavioral therapy seminars. I really enjoy my psychodynamic seminar with Ann DeLancey—she is an excellent teacher and pushes us to really expand our horizons in psychodynamic formulations. I have also elected to take an advanced seminar in psychodynamic psychotherapy with Gary Grenell. I have a fantastic set of individual supervisors as well to further enhance my learning”
“I was impressed by how happy the residents seemed. I liked the willingness of the administration to support my research interests and to help me build in time throughout the residency to pursue those interests. There are many potential mentors I’m getting to know both in psychiatry and other UW departments.”
“The residents here are a great combination of hard-working and laid back people. I feel very well supported on the ward by the chief residents and attendings.”
BA, Anthropology, Univerisity of California, San Diego
MD, UC San Francisco-UC Berkeley Joint Medical Program
PhD, Medical Anthropology, UCSF-UC Berkeley
“I’d like a balance of research and clinical practice. I’m still figuring out what I’m interested in within psychiatry, but I’d like to integrate my clinical practice with my interests and activities in global health and medical anthropology.”
| All Day: | Up at 7am with infant son. Went to aquarium with wife and son | |
| Morning: | Up at 6:30, bike to HMC at 7:30 to read up on consult liaison patients and see if we got any new ones overnight. Evidence-Based Medicine seminar at noon | |
| Afternoon: | Tried to finish notes early so I could get to my supervision appointment at 4 | |
| Evening: | Dinner with family | |
| Morning: | Similar work routine | |
| Afternoon: | Outpatient clinic at noon, see my first patient at 1, then have Brief Analytic Psychotherapy seminar, see my second patient, followed by case load supervision. Head home and stop off at Grand Central bakery to get discounted bread before they close | |
| Evening: | Cook dinner and take care of my son so my wife can go to yoga | |
| Morning: | Similar work routine | |
| Afternoon: | Short call, stayed until 6 | |
| Evening: | Hang out with family | |
| Morning: | R2 didactics at UW. Two lectures, Somatization and Psychotherapeutic Case Formulation, followed by T-group with my residency class, then resident business meeting with lunch, featuring talk from an attending on tips for staying on top of new developments in psychopharmacology | |
| Afternoon: | Back to HMC consult-liaison service | |
| Evening: | Psychotherapy appointment at 5pm, then home with family | |
| Morning: | Back at HMC consult-liaison service | |
| Afternoon: | Lunch-time conference discussing suicide prevention | |
| Evening: | Out to dinner in Capitol Hill La Bete | |
| All Day: | Call at HMC, 8am-8pm. Get home and collapse at the end of the day. | |
Paternity Leave
Harborview Psychiatry Emergency Services
Night float
Harborview Inpatient Psychiatry
UW Inpatient Psychiatry
Harborview Consult-Liaison
UW Consult-Liaison
Inpatient Psychiatry: 50
5 weeks Psychiatry night float: a 3-week and a 2-week block
19 weekend call shifts (12 hours each) this year“When looking for the right residency program for me, there were several things that made UW stand out. First was the multitude of clinical sites and the balance this brings to training. From serving the community at Harborview, to working in a university-setting at UW or dealing with the special needs of the veteran population at the VA, I was excited about the the variety of opportunities this program brings. In addition, I liked that the UW program was larger than most. Moving from out of state can be challenging, and it was important for me to have a larger support base in my co-residents. The residents seemed satisfied with the program and their quality of life, and although serious about work and education, still have a laid back vibe overall. The administration appeared to be very supportive, and they encouraged residents to pursue their interests via specialized tracks or mentoring. I was excited that this program allowed me to divide my time between medicine and pediatrics. UW has very strong programs in both, so I learned a lot from excellent attending and bright co-residents in those programs.”
BS, Psychobiology, UCLA
MD, UCSD School of Medicine
“I envision myself as a clinician, but continuing work in academics through teaching. It is difficult to decide what will ultimately be the best fit for me, however, as I have enjoyed working with the pediatric population and am considering child and adolescent psychiatry. I am also interested in mental health issues affecting women, especially in the perinatal period.”
| Morning: | Walk to mass in the morning, drive over to Ballard to buy fresh produce at the Farmer’s Market | |
| Afternoon: | Skate around the long track at Green Lake. Head back home in the late afternoon to cook dinner | |
| Evening: | Eat dinner with my husband and watch a movie | |
| Morning: | Take shuttle into work and arrive at 7:20. Read up on overnight events and get sign-out until rounds with attending at 8:00. Attend noon conference | |
| Afternoon: | Family meetings, collateral-gathering, and brief teaching with medical students while my attending writes notes. Done by 5:00 | |
| Evening: | Gym, then dinner with my husband | |
| Morning: | Meet with off-wards supervisor at 7:00 to discuss counter-transference issues with a difficult patient. | |
| Afternoon: | Family meeting, collateral-gathering, and brief teaching with medical students | |
| Evening: | Read about treatment of refractory depression at local tea-house. Watch movie before bed | |
| Morning: | Usual morning | |
| Afternoon: | Short call, time spent writing affidavit for a new admission. | |
| Evening: | Planted lettuce and herbs in my yard, then experimented with a new cupcake recipe to bring to work. Refresh my memory on antipsychotic side effects. Sleep! | |
| Morning: | Rounds as usual. Flip cards with attending | |
| Afternoon: | Business meeting at noon (with great food) then didactics | |
| Evening: | Happy hour with some of my co-interns at a local sushi restaurant | |
| Morning: | Usual morning | |
| Afternoon: | Coffee and supervision with my wards attending. Spend extra time preparing for the weekend | |
| Evening: | Out for beers and pretzels at Brave Horse Tavern with my husband and orthopedic residents | |
| Morning: | Sleep in then walk to Gas Works Park to enjoy the view | |
| Afternoon: | Laundry, tidy up my house, then take a quick nap | |
| Evening: | Overnight call at HMC | |
Children’s Inpatient Psychiatry
Children’s Inpatient Pediatric Neurology
Harborview Inpatient Psychiatry
Night float
Harborview Medicine Consults
Adult Inpatient Neurology
VA Inpatient Psychatiry
Inpatient Psychiatry: 50 – 60
Inpatient Medicine: 70-80
Neurology 60-70
3 weeks psychiatry night float over the
year 5-6 weekend calls
1 week of pediatric night float; 4 weekend days off each month
4 days off from medicine each month on a rolling schedule, no overnight duties
4 weekend days off from Neurology each month, no overnight duties
Psychiatry Residency Training Program
